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Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet

psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care

May 12, 2021 - Study Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. Citation Text: Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…

Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet

psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action

November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit

September 24, 2017 - Study Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. Citation Text: Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…

Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet

psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior

February 27, 2019 - Study Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. Citation Text: Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…

Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet

psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada

September 23, 2020 - Study Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Citation Text: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a …

Improving patient safety in handover from intensive care unit to general ward: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review

June 12, 2008 - Review Improving patient safety in handover from intensive care unit to general ward: a systematic review. Citation Text: Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1…

Adverse event reporting priorities: an integrative review. | PSNet

psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review

March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. | PSNet

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September 23, 2020 - Study Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Citation Text: Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…

Nursing home staff turnover and perceived patient safety culture: results from a national survey. | PSNet

psnet.ahrq.gov/issue/nursing-home-staff-turnover-and-perceived-patient-safety-culture-results-national-survey

June 30, 2021 - Study Nursing home staff turnover and perceived patient safety culture: results from a national survey. Citation Text: Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results from a national survey. Gerontologist. 2020;60(7):1303-1311. doi…

Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

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March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. | PSNet

psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot

December 07, 2022 - Study The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. Citation Text: Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…

Encouraging patients to speak up about problems in cancer care. | PSNet

psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care

March 11, 2013 - Study Encouraging patients to speak up about problems in cancer care. Citation Text: Mazor KM, Kamineni A, Roblin DW, et al. Encouraging patients to speak up about problems in cancer care. J Patient Saf. 2021;17(8):e1278-e1284. doi:10.1097/pts.0000000000000510. Copy Citation Format…

Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/effects-clinical-pharmacist-service-health-related-quality-life-and-prescribing-drugs

December 14, 2022 - Study Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. Citation Text: Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of…

Using Lean to improve medication administration safety: in search of the "perfect dose." | PSNet

psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose

September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats

October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

Influence of socioeconomic bias on emergency medicine resident decision making and patient care. | PSNet

psnet.ahrq.gov/issue/influence-socioeconomic-bias-emergency-medicine-resident-decision-making-and-patient-care

March 02, 2022 - Study Influence of socioeconomic bias on emergency medicine resident decision making and patient care. Citation Text: Fasano HT, McCarter MSJ, Simonis JM, et al. Influence of socioeconomic bias on emergency medicine resident decision making and patient care. Simul Healthc. 2021;6(2):85-9…

Inter-hospital transfer is an independent risk factor for hospital-associated infection. | PSNet

psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection

August 26, 2011 - Study Inter-hospital transfer is an independent risk factor for hospital-associated infection. Citation Text: Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:…

How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? | PSNet

psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous-thromboembolism

April 03, 2017 - Study How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? Citation Text: White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;4…

Adverse events involving telehealth in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/adverse-events-involving-telehealth-veterans-health-administration

October 26, 2022 - Review Adverse events involving telehealth in the Veterans Health Administration. Citation Text: Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. Copy …

Trust and medical AI: the challenges we face and the expertise needed to overcome them. | PSNet

psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them

July 22, 2020 - Commentary Emerging Classic Trust and medical AI: the challenges we face and the expertise needed to overcome them. Citation Text: Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…

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